引用本文:郑 洵,陈宝杰,苏安平,卢春燕,周 莉,欧晓红,李志辉.继发性甲状旁腺功能亢进外科治疗的发展历程 现状与目标[J].中国临床新医学,2019,12(3):247-251.
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继发性甲状旁腺功能亢进外科治疗的发展历程 现状与目标
郑 洵,陈宝杰,苏安平,卢春燕,周 莉,欧晓红,李志辉
610041 成都,四川大学华西医院甲状腺外科&甲状旁腺MDT诊疗团队
摘要:
[摘要] 继发性甲状旁腺功能亢进(secondary hyperparathyroidism,SHPT)已成为慢性肾脏病(chronic kidney disease,CKD)常见的并发症之一,其手术治疗目前仍处于几种主流手术方式并存的状态,同时,手术方式的选择、手术指征的制定目前尚无完全统一标准。甲状旁腺疾病的多学科诊疗模式近年来逐步得到认可和实践,并值得进一步推广。降低手术并发症发生率及复发率,建立围手术期的安全评价模式,完善钙代谢评估及术后患者随访体系仍是今后努力的方向。该文对SHPT外科治疗的发展历程、现状与目标作一述评。
关键词:  继发性甲状旁腺功能亢进  多学科诊疗模式  外科手术
DOI:10.3969/j.issn.1674-3806.2019.03.02
分类号:R 582+.1
基金项目:
The history, status quo and goal for surgical treatment of secondary hyperparathyroidism
ZHENG Xun, CHEN Bao-jie, SU An-ping, et al.
Department of Thyroid & MDT for Hyperparathyroidism, West China Hospital,Sichuan University, Chengdu 610041, China
Abstract:
[Abstract] Secondary hyperparathyroidism(SHPT) has become one of the common complications of chronic kidney disease(CKD), but surgical treatment for SHPT is still in the state of the coexistence of several operation methods, and there is no unified standard for surgical indications and the choice of different operation methods. Multidisciplinary treatment for the parathyroid disease has been adopted by specialists and is worthy of further promotion. Future efforts need to be made to reduce operative complications, decrease recurrence rate, establish a perioperative evaluation pattern, perfect the assessment of calcium metabolism and establish a postoperative follow-up system. This article reviews the history, status quo and goal for surgical treatment of SHPT.
Key words:  Secondary hyperparathyroidism(SHPT)  Multidisciplinary team  Surgical treatment